Remote RN Compliance Auditor: Healthcare Audits & Compliance
DaMar Staffing
- Remote job
DaMar Staffing is seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure state and federal compliance. The RN will analyze claims data, conduct retrospective reviews, review billing practices, prepare reports, and participate in hearings and official proceedings. #J-18808-Ljbffr DaMar Staffing
- ...Massachusetts is seeking a Clinical Claim Review RN to perform compliance reviews of medical and administrative... ...visits, data analysis, and presenting audit findings to clients using our auditing tools. The position is full-time, remote within Massachusetts, with standard 8-...Remote jobFull timeShift work
- ...in the Medical Record.Seeking RN candidates with a HCS-D - Home... ...for OASIS Specialist-Clinical. Remote position in New York.Job... ...and principals; performs coding audits for optimization.4. Audits and... ...proper standards are maintained in compliance with Federal and State...Remote workHourly payFull time
- Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy...Remote jobWork from home
- ...seeking a Clinical Claim Review RN to perform compliance reviews of medical and... ...role involves site visits, desk audits, and collaboration with a team of auditors to document findings and input... ...full-time (40 hours/week) with remote work options in Massachusetts and...Remote jobFull timeLocal area
- Medical Review Nurse - CMS/RAC Auditor, Government Audits Remote - US Machinify is a leading healthcare intelligence company with... ...Qualifications Active unrestricted RN license in good standing, is... ...’s Office of Federal Contract Compliance Programs (OFCCP) website at How...Remote jobContract workFor contractorsFor subcontractorWork at office
$92.4k - $133.67k
...Job Supervises a team of auditors that participate in financial, operational, compliance, or information technology audit programs. Performs and... ...experience required. ~ California RN license in good standing... ...Work Mode: Partially Remote An annual employee bonus...Remote workContract workLocal areaHome office$95k - $105k
The Office of Audit and Compliance (OAC) at the University of Virginia (UVA... ...applications for a Senior Auditor for its UVA Health team. The... ...audit experience is preferred.Healthcare audit experience,... ..., in accordance with UVA’s remote work guidelines.About UVA and...Remote workWork at office- ...HEDIS Auditor RN/LPN Integrated Resources, Inc is a premier staffing... ...is for the 2018 HEDIS audit, Position is responsible for... ...which candidate must attend and remote other days. Riya Khem Life... .... IT Life Sciences Allied Healthcare CRO Certified MBE |GSA - Schedule...Remote workContract workWork from home
$90k - $104.84k
...RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About... ...accuracy, reimbursement, and compliance. You’ll work... ...support assigned DRGs. Audit & Compliance Conduct...Remote workFull timeWork at office$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical... ...Description WORK STYLE: Remote/work at home. While this... ...years) MS-DRG coding/auditing experience Experience... ...personal wellness and smart healthcare decisions for you and... ...action, in compliance with Section 503 of the...Remote workBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$80k - $90k
...Senior Compliance Auditor - RN (Remote)At Elara Caring, we have a unique opportunity to play a huge role... ...mission every day. Join our elite team of healthcare professionals, providing the Right... ...in all comprehensive or stratified audits related to skilled home health,...Remote workLocal area- ...recovery, pharmacy software, compliance auditing, and medical device... ...being a trusted partner in healthcare and education. This position... ...spreadsheet work in general. The 340B Auditor will: Be expected to conduct... ...Audits: Perform onsite and remote audits both independently and...Remote workContract workWork at officeImmediate startVisa sponsorshipWork visaFlexible hours
- Molina Healthcare is seeking an RN with a US license in good standing to join the Medicaid Team as a Clinical Auditor. The role may offer remote work flexibility, but the candidate must... ...will support clinical auditing activities, align compliance with corporate standards...Remote job
- ...AuditorApplyremote type: Remote USlocations: Remote -... ...we’re reimagining the healthcare experience. Founded in... ...**Medical Coding Auditor** to join our positive... ...delivering top-tier coding compliance and accuracy for our... ...standards and supporting audit and denial management...Remote workWork at officeLocal areaFlexible hours
$52.69 - $69.82 per hour
...Full time Day - 08 Hour R2658919 Remote USA 108610021 Admin Compliance Business & Administration Day -... ...Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to... .... They review and evaluate healthcare regulatory compliance, focusing...Remote workHourly payFull timeWork experience placementWork at office$80k - $90k
...Job Title: RN Medical Bill Auditor Location: Remote Compensation: $80,000 - $90,000... ...a large, mission-driven healthcare organization seeking an... ...specialized medical bill auditing opportunity. This role offers... ...billing accuracy, compliance, and appropriate documentation...Remote workFull timeWork experience placementLocal area$160k - $200k
...AuditorLocation: Lynnwood, WA -mainly remote. We are open to hiring in... ...Engineer & Security Auditor to lead technical security... ...and independent auditing for a complex healthcare organization environment.... ...defensive capabilities with compliance and risk management responsibilities...Remote work- ...Compliance Coding Auditor Performs a number of functions including those of... ...physician education, internal auditing, coder education,... ...experience (Required) Remote work opportunity preferred... ...Washington, West Virginia, Wisconsin, and Wyoming. Sentara HealthcareRemote workTemporary work
$78.91k - $98.64k
...better future for healthcare. That starts by offering... ...facilities are in compliance with industry... ...and/or auditor. # Certified Professional... ...experience in auditing of hospital claims preferred. # RN, LPN or associate’... ...required to support remote or hybrid work. Must...Remote workHourly payFull timeWork at officeWork from homeAfternoon shift- Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating coders...Remote job
- The Marwood Group, a healthcare advisory services firm based... ...a Certified Coding Auditor to join our New York office or work remotely. You will perform remote billing and coding audits to ensure coding practices... ...strong knowledge of coding compliance and #J-18808-Ljbffr...Remote jobWork at office
- RCM Healthcare Services seeks an Inpatient Coding Auditor to support healthcare organizations by performing... ...coding to ensure compliance, accuracy, and... ...hospital environments. Remote position with a flexible... ...5+ years of inpatient auditing experience, and strong...Remote jobFlexible hours
- GeBBS Healthcare Solutions is seeking a seasoned Coding Compliance Auditor to assess inpatient and outpatient records, verify ICD-10-CM/PCS, CPT and HCPCS coding, and... ...teams to improve documentation quality in a remote environment. The role requires 4+ years in acute...Remote job
- BJC HealthCare is hiring a Senior Compliance Coordinator who will ensure the accuracy of billing for specialty providers. This remote position involves conducting reviews, preparing reports, and providing education on compliance regulations. The ideal candidate will have...Remote job
- Healthcare Fraud Shield is seeking a Coding Auditor to perform routine coding reviews and ensure medical records align with billed codes. The role requires strong coding knowledge and meticulous attention to accuracy, with supervision by SIU management. The ideal candidate...Remote job
- Ensemble Health Partners is seeking a Senior Coding Compliance Auditor to advance the annual compliance workplan with lead audits, MAPs, and audit-quality initiatives. The... ...processes. Ideal candidates have extensive healthcare coding knowledge (ICD-10, DRG, CPT,HCPCS)...Remote job
- GeBBS Healthcare Solutions, Inc. is seeking an Facility Inpatient Coding Auditor to audit inpatient facility coding with a focus on OB/NB, CAH, and Rehab auditing, ensuring accuracy, compliance, and quality across a remote team. The role requires expertise in ICD-10-CM...Remote job
- Molina Healthcare is seeking a compliance auditor to support auditing activities and evaluate adherence to regulatory requirements and internal policies. You will identify gaps, document findings, and propose improvements to mitigate risks in fraud or abuse areas. The...Remote job
- UT Health San Antonio is seeking a Quality Assurance Auditor to support audits of SUD and related programs across Texas, with extensive travel and a mix of office/remote work. You will verify compliance with HHSC regulations, contract requirements, and TAC standards; produce...Remote jobContract workWork at office
- Majestic Care seeks a Corporate Compliance Clinical Auditor to audit post-acute care facilities for adherence to OIG requirements. This senior role conducts retrospective, concurrent and prospective reviews across SNF, home health and hospice, identifying gaps and guiding...Remote job
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